ĐÁNH GIÁ HIỆU QUẢ ĐIỀU TRỊ CỦA PHÁC ĐỒ BÀI THUỐC ĐÀO HỒNG TỨ VẬT THANG KẾT HỢP ĐIỆN CHÂM, TỪ TRƯỜNG TRỊ LIỆU TRÊN BỆNH NHÂN THOÁT VỊ ĐĨA ĐỆM CỘT SỐNG THẮT LƯNG

Abstract

 Background: Lumbar disc herniation is a common musculoskeletal disorder and a leading cause of low back pain and sciatica. The condition limits physical function, reduces work capacity, and significantly impairs patients' quality of life. It is considered one of the leading causes of work absenteeism in Vietnam as well as worldwide. Objectives: 1) To evaluate the therapeutic efficacy of Tao Hong Si Wu Tang combined with electroacupuncture and magnetic field therapy in patients with lumbar intervertebral disc herniation; 2) To investigate several factors associated with treatment outcomes. Materials and methods: This study was conducted on 35 inpatients diagnosed with lumbar disc herniation at Can Tho Traditional Medicine Hospital. The study was designed as an uncontrolled clinical intervention study. Results: After 14 days of treatment, significant clinical improvement was observed. The mean VAS score decreased from 6.97 ± 0.30 to 4.51 ± 1.07 (p < 0.01). The Schober index increased from 11.24 ± 0.33 cm to 12.40 ± 0.68 cm, while the fingertip-tofloor distance decreased from 41.63 ± 7.26 cm to 15.89 ± 6.29 cm (p < 0.01). The proportions of patients with good and fairly good treatment outcomes reached 8.6% and 82.8%, respectively, whereas the proportion with poor outcomes decreased from 82.9% to 2.9%. Age and body mass index (BMI) were not significantly associated with treatment outcomes (p > 0.05). Conclusion: The combination of Tao Hong Si Wu Tang herbal formula, electroacupuncture, and magnetic field therapy reduced pain and improved lumbar spine range of motion in patients with lumbar disc herniation after 14 days of treatment.